Palestine Principal Healthcare Limited Partnership
Organization Active NPI General Acute Care Hospital · Palestine, TX
NPI 1164510673 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1164510673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
- Practice address
- 2900 S Loop 256
Palestine, TX 75801-6958 - Phone
- (903) 731-1000
- Fax
- (903) 731-2236
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Johnetta Traylor
- Title
- Administrator
- Phone
- (502) 596-6063
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 4
Member organizations 1
Related certifications (CCN) 1
Facilities with the same owner 97
Practitioners 18
-
Adebayo Adewale, M.D
-
Danny Lee Bowman, MD
-
Hilary S Currie, MD
-
Asha Marie Freeman, M.D.
-
Michael P Garcia, M.D.
-
Mark Stephen Hill, M.D.
-
Russell C. Packard, M.D.
-
Julie Romanovich Quinn, APRN-CNM
-
Stacy Smith, MSN, RN, CPNP-PC
-
Cesar C. Uy Jr., MD
-
Brandy C Watson, M.D.
-
Alexander Volkov, D.O.
Affiliated clinicians 119
-
Adebayo Adewale, M.D
-
Nicholas Stephen Andrade, M.D.
-
Natalie Bachynsky, FNP
-
Shirley Jeanne Baker, PA-C
-
Ramesh Bandagorla, M.D.
-
Alireza Behboudi, D.O.
-
Joseph S. Beltz, CRNA
-
Joseph R Berger III, D.O.
-
Jamie Bishop, FNP
-
Danny Lee Bowman, MD
-
Natalie Karen Burks, FNP
-
Stephanie Byrd, FNP
-
John Thomas Camp, MD
-
Christopher Jay Carter, CRNA
-
Sidney Boyd Chadwell Jr., D.O.
-
Relvert J. Coe Jr., M.D.
Medicare Care Compare: Hospital
- Listed as
- Palestine Regional Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 450747
- Legal name
- PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
- Doing business as
- PALESTINE REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 16, 1987
- Last certification
- Mar 21, 2024
- Beds
- 161 (71 certified)
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Oct 1, 1999 (1 total)
- Organization structure
- Other · Proprietary
- Incorporated
- Jul 16, 1996 in TX
- Enrollment address
- 2900 S Loop 256
Palestine Regional Medical Center
Palestine, TX 75801-6958 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC |
Operational/Managerial Control | Dec 23, 2021 | |
| Palestine-Principal G P Inc |
General Partnership Interest | Aug 16, 2005 | |
| Jacquelyn Joy Davis |
Contracted Managing Employee |
Dec 16, 2023 | |
| Scott Graeser |
Corporate Officer |
Aug 19, 2022 | |
| Dana M Rock |
Corporate Officer |
Dec 9, 2024 | |
| Johnetta M Traylor |
Corporate Officer |
Dec 9, 2024 | |
| Russell Pigg |
Corporate Officer |
Mar 17, 2025 | |
| Knight Health Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Bernard Pogue |
Contracted Managing Employee |
Nov 23, 2023 | |
| Michael Joseph Bean |
Corporate Officer |
Jan 21, 2022 | |
| Knight Healthcare New-B, LLC |
5% Or Greater Direct Ownership Interest | Dec 23, 2021 | |
| Knight Health II, LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Alan Wenk |
Corporate Officer |
Mar 17, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030422000028 | TX | Part a Provider - Hospital | 7214844976 |
1 other NPI on this enrollment Practice locations: Palestine, TX |
National Provider Directory
- Tax ID family
- Grapeland Rural Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
2900 S Loop 256
Palestine, TX 75801-6958
Mailing address
680 S 4TH St # KH3
Louisville, KY 40202-2407
Phone (502) 596-6063
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088227601 | Medicaid | TX | |
| 121816601 | Medicaid | TX | |
| HH0818 | Other | TX | BCBS |
| 74791525007 | Other | TX | CHAMPUS |
| 121816602 | Medicaid | TX |
Other names
- Palestine Regional Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | palestine@yourcarecommunity.org |
Other providers in Palestine, TX
- Palestine Laser & Surgery Center PLLC
- Palestine Oral Facial Surgery Group PLLC
- Palestine Pharmacy LLC
- Palestine Pharmacy LLC
- Palestine Principal Healthcare Limited Partnership
- Palestine Principal Healthcare Limited Partnership
- Palestine Principal Healthcare Limited Partnership
- Palestine Principal Healthcare Limited Partnership
- Palestine Principal Healthcare Limited Partnership
- Palestine Principal Healthcare Limited Partnership
All providers in Palestine, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.